Individual
MRS. DIANE JAWORSKI PETITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
201 PRESIDENT ST, HEMPSTEAD HIGH HEALTH CENTER, HEMPSTEAD, NY 11550-4718
(516) 292-7111
(516) 292-4651
Mailing address
128 DUNWOODIE AVE, WEST ISLIP, NY 11795-1934
(631) 422-4585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
298429-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F380742
NY
Other
Enumeration date
10/19/2006
Last updated
08/30/2022
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